| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $239.88 | $275.42 | $501.19 | |
United
| Facility | $194.98 | $239.88 | $707.95 |
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $239.88 | $275.42 | $501.19 | |
United
| Facility | $194.98 | $239.88 | $707.95 |